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Endovascular repair is associated with superior clinical outcomes in patients transferred for treatment of ruptured abdominal aortic aneurysms.
J Endovasc Ther. 2012 Feb; 19(1):88-95.JE

Abstract

PURPOSE

To compare in a population-based analysis the in-hospital mortality and complications following endovascular aneurysm repair (EVAR) vs. open repair in patients transferred for the management of ruptured abdominal aortic aneurysm (RAAA).

METHODS

Interrogation of the 2003-2007 Nationwide Inpatient Sample database identified 271 patients (205 men; mean age 71.7 years) who were transferred for RAAA treatment. Demographic, patient, and hospital characteristics were analyzed. Hierarchical multivariate logistic regression analyses were employed to identify predictors of in-hospital mortality and complications; results are presented as the odds ratio (OR) and 95% confidence interval (CI).

RESULTS

In comparison to open repair (n=207), endovascular repair (n=64) was associated with lower in-hospital mortality (36% vs. <18%, p<0.01) and a lower complication rate (78% vs. 66%, p<0.05). Transferred RAAA patients undergoing EVAR had lower in-hospital mortality (OR 0.21, 95% CI 0.09 to 0.49, p<0.01) and fewer complications (OR 0.49, 95% CI 0.26 to 0.95, p<0.05) than transferred patients having open repair.

CONCLUSION

Compared to open repair, EVAR led to superior short-term clinical outcomes in transferred RAAA patients. In this clinical situation, transfer of stable RAAA patients to institutions capable of performing EVAR is recommended.

Authors+Show Affiliations

Department of Surgery, Yale University School of Medicine, New Haven, Connecticut 06510, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22313208

Citation

Mandawat, Anant, et al. "Endovascular Repair Is Associated With Superior Clinical Outcomes in Patients Transferred for Treatment of Ruptured Abdominal Aortic Aneurysms." Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists, vol. 19, no. 1, 2012, pp. 88-95.
Mandawat A, Mandawat A, Sosa JA, et al. Endovascular repair is associated with superior clinical outcomes in patients transferred for treatment of ruptured abdominal aortic aneurysms. J Endovasc Ther. 2012;19(1):88-95.
Mandawat, A., Mandawat, A., Sosa, J. A., Muhs, B. E., & Indes, J. E. (2012). Endovascular repair is associated with superior clinical outcomes in patients transferred for treatment of ruptured abdominal aortic aneurysms. Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists, 19(1), 88-95. https://doi.org/10.1583/11-3651.1
Mandawat A, et al. Endovascular Repair Is Associated With Superior Clinical Outcomes in Patients Transferred for Treatment of Ruptured Abdominal Aortic Aneurysms. J Endovasc Ther. 2012;19(1):88-95. PubMed PMID: 22313208.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovascular repair is associated with superior clinical outcomes in patients transferred for treatment of ruptured abdominal aortic aneurysms. AU - Mandawat,Anant, AU - Mandawat,Aditya, AU - Sosa,Julie A, AU - Muhs,Bart E, AU - Indes,Jeffrey E, PY - 2012/2/9/entrez PY - 2012/2/9/pubmed PY - 2012/6/5/medline SP - 88 EP - 95 JF - Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists JO - J Endovasc Ther VL - 19 IS - 1 N2 - PURPOSE: To compare in a population-based analysis the in-hospital mortality and complications following endovascular aneurysm repair (EVAR) vs. open repair in patients transferred for the management of ruptured abdominal aortic aneurysm (RAAA). METHODS: Interrogation of the 2003-2007 Nationwide Inpatient Sample database identified 271 patients (205 men; mean age 71.7 years) who were transferred for RAAA treatment. Demographic, patient, and hospital characteristics were analyzed. Hierarchical multivariate logistic regression analyses were employed to identify predictors of in-hospital mortality and complications; results are presented as the odds ratio (OR) and 95% confidence interval (CI). RESULTS: In comparison to open repair (n=207), endovascular repair (n=64) was associated with lower in-hospital mortality (36% vs. <18%, p<0.01) and a lower complication rate (78% vs. 66%, p<0.05). Transferred RAAA patients undergoing EVAR had lower in-hospital mortality (OR 0.21, 95% CI 0.09 to 0.49, p<0.01) and fewer complications (OR 0.49, 95% CI 0.26 to 0.95, p<0.05) than transferred patients having open repair. CONCLUSION: Compared to open repair, EVAR led to superior short-term clinical outcomes in transferred RAAA patients. In this clinical situation, transfer of stable RAAA patients to institutions capable of performing EVAR is recommended. SN - 1545-1550 UR - https://www.unboundmedicine.com/medline/citation/22313208/Endovascular_repair_is_associated_with_superior_clinical_outcomes_in_patients_transferred_for_treatment_of_ruptured_abdominal_aortic_aneurysms_ L2 - https://journals.sagepub.com/doi/10.1583/11-3651.1?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -